<div>
	<a href='#' title='Close' class='modalCloseX simplemodal-close'style='font-size:18px;'>x</a>
	<div class='client-top'></div>
	<div class='client-content'>
		<h1 class='client-title'>Cadatro de cliente:</h1>
		<div class='client-loading' style='display:none'></div>
		<div class='client-message' style='display:none'></div>
		<form action='#' method='post'>
			<label for='client-name'>*Nome:</label>
			<input type='text' id='client-name' class='client-input' name='name' tabindex='1001' maxlength='255'/>
			
			<label for='client-email'>*Email:</label>
			<input type='text' id='client-email' class='client-input' name='email' tabindex='1002' maxlength='255'/>
		
			<label for='client-login'>*Login:</label>
			<input type='text' id='client-login' class='client-input' name='login' tabindex='1003' maxlength='100'/>
			
			<label for='client-senha'>*Senha:</label>
			<input type="password" id='client-senha' class='client-input' name='senha' tabindex='1004' maxlength='32'/>
			
			<label for='client-endereco'>*Endere&ccedil;o:</label>
			<input type='text' id='client-endereco' class='client-input' name='endereco' tabindex='1005' /maxlength='150'>
		
			<label for='client-bairro'>*Bairro:</label>
			<input type='text' id='client-bairro' class='client-input' name='bairro' tabindex='1006' maxlength='150'/>
			
			<label for='client-cidade'>*Cidade:</label>
			<input type='text' id='client-cidade' class='client-input' name='cidade' tabindex='1007' maxlength='200'/>
			
			<label for='client-uf'>*UF:</label>
			<input type='text' id='client-uf' class='client-input' name='uf' tabindex='1008' maxlength='2'/>
			
			<label for='client-cep'>*CEP:</label>
			<input type='text' id='client-cep' class='client-input' name='cep' tabindex='1009' maxlength='8'/>
		
			<button type='submit' class='client-send client-button' tabindex='1010'>Enviar</button>
			<button type='submit' class='client-cancel client-button simplemodal-close' tabindex='1011'>Cancelar</button>
			<br/>
		</form>
	</div>
</div>
<?php if(!empty($message)):?>
<script>
	alert('<?php echo $message?>');
</script>
<?php endif; ?>